Organization Name: | KIMBERLY M GILL DDS MS LLC |
NPI Number: | 1184024754 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY M GILL (OWNER/MEMBER) |
Mailing Address: | 982 Galloway Rd Galloway |
State: | OH US |
Postal Code: | 431198293 |
Phone Number: | 6143458824 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2014 |
NPI Last Update Date: | 09/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 30-022080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |